4-H Office Use Only
Date Received:
MARYLAND 4-H CLUB
HORSE AND PONY
IDENTIFICATION CARD
Member Identification
Name ______________________________________________ Birthdate ____________________________________________
Address _________________________________________________________________________________________________
Club _________________________________________________ Phone ____________________________________________
Project Identification
Name of Horse _______________________________________ Birthdate ____________________________________________
Breed _____________________________________ Sex _________ Height __________________________________________
Does this animal have an official measurement card granted by USAE or an affiliate? _____ YES _____NO (check one)
Color and Markings (be specific) ______________________________________________________________________________
Year(s) that this horse is a project animal
20_______
20_______
20_______
20_______
20_______
Owned _____________________________ Leased* ____________________________ (check one) *Signed agreement on file
Club Member ______________________________________________ Club Leader ____________________________________
Signature
Signature
Parent ______________________________________________________ File with the Extension Educator one card for each
Signature
horse prior to May 1 of the current year.
Issued in furtherance of Extension work, acts of May 8 and June 30, 1914, in cooperation with the U.S. Department of Agriculture, University of Maryland, College Park, and local governments. Cheng-i Wei, Dean and Director of University of Maryland Extension.
The University of Maryland is equal opportunity. The University’s policies, programs, and activities are in conformance with pertinent Federal and State laws and regulations on nondiscrimination regarding race, color, religion, age, national origin, gender, sexual orientation, marital or parental status, or disability.
Inquiries regarding compliance with Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Educational Amendments; Section 504 or the Rehabilitation Act of 1973; and the Americans With Disabilities Act of 1990; or related legal requirements should be directed to the Director of Human
Resources Management, Office of the Dean, College of Agriculture and Natural Resources, Symons Hall, College Park, MD 20742.